Individual provider Active NPI

Lili Solinger Lutgens, LCSW

  • Clinical Social Worker
  • New Albany, IN
National Provider Identifier
1205906765
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KY-1469 Issued in KY
Practice address
4303 Emerald Way
New Albany, IN 47150-9330
Phone
(502) 762-6258
NPI assigned
Nov 9, 2006
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X KY-1469 KY Primary

Addresses

Primary practice location

4303 Emerald Way
New Albany, IN 47150-9330

Mailing address

4303 Emerald Way
New Albany, IN 47150-9330
Phone (502) 762-6258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150311002259 KY Practitioner - Clinical Social Worker 6901122126 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7982 New Lagrange Rd
Suite 3
Louisville, KY 40222-4792
Phone (502) 762-6258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1469KYMDMassage Therapist
KY-1469KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Intervention Services Clinical CurrentSince Feb 18, 2015 Accepting new patients

Locations

9900 Corporate Campus Dr
Ste 3
Louisville, KY 40223

9900 Corporate Campus Dr
Ste 3000
Louisville, KY 40223
Phone (502) 657-6013

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1205906765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 EMERALD WAY",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509330",
            "telephone_number": "502-762-6258",
            "fax_number": "812-948-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 EMERALD WAY",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509330",
            "telephone_number": "502-762-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTGENS",
        "first_name": "LILI",
        "middle_name": "SOLINGER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY-1469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.